Over the past 15+ years, I have been building my knowledge and experience of Full Lifecycle Medical Billing, Collections, Finance, Operations, Reporting, Research and Analysis. Application/ Industry transferable understanding of business requirements, processes and regulatory requirements. My Success Drivers:· Delivering consistency in quality customer service and resolution · Driving resolution and documenting issues· Documenting all contacts· Managing collections of government program, insurers, private claims· Facilitating claims processing and follow-up· Investigating, negotiating and concluding settlement or denial of claims · Credentialing providers · Tracking, scheduling and bringing into compliance provider documentation· Reviewing and improving processes and procedures· Reviewing and assessing new software solutions· Documenting company policies and procedures· Advising clients on best practices to insure speedy payment and resolutions· Providing liaison role between company, providers, insurers and patients· Working with outside collections vendors· Mentoring less experienced team members· Enforcing job functions are in compliance with legal and regulatory requirements· Seeking out opportunities to learn and lead in new areas. Strengths:· Recognized interpersonal / communications skills· Requirements gathering · Ability to quickly understanding business needs and solutions · Liaison skills· Flexibility as a team player/leaderMedical Revenue Cycle Experience:.Summary:- Extensive understanding of all areas of billing- Liaison/negotiation role between parties- Insurance carrier procedures and requirements - Regulatory Guidance on HIPAA, NPI, etc. - Claims Auditing- Project Management/New initiative launches - Medical Software Applications use and support- ICD9 and CPT knowledge
Listed skills include A/R Collections, Software Quality Assurance, Workmans Comp Claims, Physician Credentialing, and 22 others.
